According to an inscription later erected by Shalmaneser, he had started his annual campaign, leaving Nineveh on the 14th day of Iyar. He crossed both the Tigris and Euphrates without incident, receiving the submission and tribute of several cities along the way, including Aleppo. Once past Aleppo he encountered his first resistance from troops of Irhuleni, king of Hamath, whom he defeated; in retribution, he plundered both the palaces and the cities of Irhuleni's kingdom. Continuing his march after having sacked Qarqar, he encountered the allied forces near the Orontes River.[3]

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Twelve Kings is an Akkadian term meant to symbolize any kind of alliance. The most famous example is in the Kurkh Monolith, where an alliance of 11 kings are listed as 12 in the Assyrian document as fighting against Assyrian King Shalmaneser III in the battle of Qarqar. Shalmaneser's inscription describes the forces of his opponent Hadadezer in considerable detail as follows:[4]

Shalmaneser boasts that his troops inflicted 14,000 casualties upon the allied army, capturing countless chariots and horses, and describes the damage he inflicted on his opponents in savage detail. However, the royal inscriptions from this period are notoriously unreliable. They never directly acknowledge defeats and sometimes claim victories that were actually won by ancestors or predecessors. If Shalmaneser had won a clear victory at Qarqar, it did not immediately lead to further Assyrian conquests in Syria. Assyrian records make it clear that he campaigned in the region several more times in the following decade, engaging Hadadezer six times, who was supported by Irhuleni of Hamath at least twice. Shalmaneser's opponents held on to their thrones after this battle: though Ahab of Israel died shortly afterwards in an unrelated battle, Hadadezer was king of Damascus until at least 841 BC.